KevinMD November 22, 2024
Christian Tallo and Aaron Kiel

In January 2022, the medical school curriculum underwent a transformative shift when Step 1, the first of three licensing exams for U.S. medical students, switched from numerical score to a pass/fail (P/F) grading system. Now, with several years of perspective, we can assess the broader implications of this change on medical education. The primary objective of this reform was to alleviate the pressures associated with Step 1 and to promote a more holistic evaluation of residency applicants. While this shift has produced some positive outcomes, an emerging and perhaps unintended consequence is the ripple effect it has triggered in other areas.

The objective of decreasing the degree of studying appears to have fallen short. Data reveals a concerning decline in...

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